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NPI Code Detail

MEDICARE: SASHA NALINI BEACHAM

MEDICARE: SASHA NALINI BEACHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician198991CA
2390200000XStudent in an Organized Health Care Education/Training ProgramCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12489OTHERCASTUDENT

General Provider Information

NPI Number : 1205567609
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA NALINI BEACHAM
Provider Business Mailing Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number : 408-694-8208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 05/18/2026

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Directions to “ SASHA NALINI BEACHAM ” Practice Location

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